家庭医学文凭-香港医学会学习资料课件.pptVIP

Patients are not the best judge which specialist they should see. 病人不知道應該去看什麼專科醫生 Despite increase in health care expenditure, it cannot satisfy consumer need. 儘管在健康護理方面的開支不斷增加， 病人的需要還是不能得到滿足 People began to realise the need of family physicians looking after them in their natural environment and guide them towards the right specialists if needed. 人們開始意識到家庭醫生的重要性。 家庭醫生不但能在一個比較輕鬆自然的環境裡照顧病人， 而且也能在必要的時候把病人轉介到專科醫生門診。 Origin of family medicine 家庭醫學的起源 於一個月內病患及使用醫療服務的狀況 出現健康危機的成年人口 患病或受傷報告 到醫生處求診 入院 轉介醫療專科中心 Special features of Family Medicine Practice (家庭醫學的特點) Highly prevalent health problems in family practice are not life threatening not really considered as diseases by hospital clinicians but illnesses by patients 對於基層醫療中十分普遍、但非致命的健康問題，醫院專科醫生並不特別認為是「疾病」，而只是病人的不適。 Not all clinical presentations would lead to established diagnoses 並不是所有的臨床表徵都能有確定的診斷。 Most are undifferentiated problems at early stage with less classic presentations 大部份病人的問題屬於早期、尚未歸類，亦缺乏典型臨床表徵。 Special features of Family Medicine Practice (家庭醫學的特點) Unique difficulties of diagnosing disease which presents in an early, undifferentiated form and of its management outside specialized hospital units with limited facilities for investigation 疾病在早期、未歸類的時候，在醫院以外及有限化驗設施的前提下，對診斷及治療都構成獨特困難。 Multiple problems, how to prioritize? 在多種臨床問題中，哪些應優先處理？ Methods of disease prevention and health promotion in the community. 社區中疾病預防及健康推廣的方法。 The Content of Family Medicine家庭醫學的範疇(I McWhinney) A specialty in breadth, rather than depth and acting across clinical boundaries and sectors. 家庭醫學服務的特質注重其涵蓋度多於其深度，更不限於醫療界別之內。 A Charter for Family Medicine in Europe - WHO Regional Office: By the year of 2000, all Member States should meet the basic needs by providing services on: 世界衞生組織駐歐洲分所的家庭醫學憲章：公元2000年，所有成員國均通過提供以下服務而達到人民基本需求： Health promotion 促進健康 Curative 治療服務 Rehabilitation and supporting services 復康及支援服務 Supporting self help activities of individuals, families and groups 支持個人、家庭及團體的自助活